Individual
SHERYL DAWN VANDER WAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
WHCNP
Contact information
Practice address
313 E 12TH ST, STE 104, AUSTIN, TX 78701-1954
(409) 747-0890
Mailing address
301 UNIVERSITY BLVD, GALVESTON, TX 77555-1022
(409) 747-0890
(409) 772-0885
Taxonomy
Speciality
Code
Description
License number
State
364SW0102X
Women's Health Clinical Nurse Specialist
Primary
673129
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
174291801
—
TX
Enumeration date
12/15/2006
Last updated
07/08/2007
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